Organization · Type 2 NPI

Walgreens Specialty Pharmacy LLC

Pharmacy · Beaverton, OR

NPI number 1669668752 Active

Practice location

9775 SW Gemini Dr, Ste 1
Beaverton, OR 97008

Call (866) 202-4014 Map

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	RP-0002419 (OR)
Home Infusion Therapy Pharmacy	3336H0001X	None listed
Specialty Pharmacy	3336S0011X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

11 other providers at this address

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NPI record

NPI: 1669668752
Entity type: Organization (Type 2)
Issued: Sep 21, 2007
Last updated: May 11, 2021
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Alliancerx Walgreens Prime #12314 · doing business as
Alliancerx Walgreens Prime #12314 · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669668752

Walgreens Specialty Pharmacy LLC's National Provider Identifier is 1669668752, issued on Sep 21, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Beaverton, OR. The record was last updated on May 11, 2021.